Risk factors of cancer recurrence in stomach after non-curative endoscopic resection for early gastric cancer
10.3760/cma.j.issn.1007-5232.2019.12.005
- VernacularTitle: 早期胃癌内镜下非治愈性切除后胃内再发的危险因素分析
- Author:
Zihao DAI
1
,
2
;
Xiaobo LI
Author Information
1. Department of Gastroenterology, Renji Hospital Affiliated to Shanghai Jiaotong University School of Medicine
2. Shanghai Institute of Digestive Disease, Shanghai 210001, China
- Publication Type:Journal Article
- Keywords:
Stomach neoplasms;
Neoplasm recurrence;
Risk factors;
Non-curative endoscopic resection
- From:
Chinese Journal of Digestive Endoscopy
2019;36(12):897-900
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the risk factors of cancer recurrence in stomach after non-curative endoscopic resection for early gastric cancer (EGC).
Methods:Data of 59 patients with early gastric cancer, who underwent non-curative resection at endoscopy center of Shanghai Renji Hospital from October 2008 to June 2018, were analyzed with the univariate Logistic regression for the risk factors of cancer recurrence in the stomach.
Results:The follow-up period ranged from 4 to 77 months, with the median time of 40 months. There were 11 cases of cancer recurrence in the stomach. The univariate Logistic regression analysis showed lymphatic vessel invasion (OR=8.63, 95%CI: 1.24-60.04, P=0.030) and eCura high-risk grading (OR=7.31, 95%CI: 1.05-51.10, P=0.045) were risk factors for cancer recurrence in the stomach.
Conclusion:The routine eCura grading assessment can be considered after non-cure resection. Patients with lymphatic vessel invasion or high-risk eCura category are not recommended for follow-up; patients with low-risk eCura grading can be followed up by regular endoscopy and attention should be paid to whether there are abnormalities around the original lesion.
